considered switching addictions (indicate how serious your interest in doing so has been)

switched addictions (write details in comment box below)

seriously considered using again

had a slip (explain more below)

had a relapse (explain more below)

come back from a relapse or slip (please write how long you've been back below please)

I am at a point in my life where:*

Things are going pretty smoothly

The people around me are in crisis but I'm okay

I am in a state of personal crisis (give details in comment box below)

I'm in a transition (give details in comment box below - such as between jobs, between relationships, etc.)

I'm trying to figure out what to do with the rest of my life

I'm feeling lost and looking for answers

I want to know my life purpose because:*

I've always wanted to know why I'm alive

I don't have time to waste

I believe I'm here for a reason and I haven't been able to figure it out so far

I just don't think I'm doing or being all I can be.

I am coachable because:*

I do well when I have an accountability partner to share my home assignments with when I have finished them

I am willing to follow directions

I am willing to go to any length to strengthen my recovery

I really want to find and manifest my life purpose

I am a person who follows through on commitments

I am willing to take action in the direction of my heart's desires

I am determined to find my life purpose

The following is/are true in my life:*

I pray regularly

When I pray, I hear answers and carry on conversations with my HP

I meditate regularly (please indicate the type(s) of meditation you do in the comment box

I do other contemplative practices that connect me with something beyond my ego (please give details in the comment box)

I have done therapy, analysis, or counseling

I have taken consciousness or self-awareness workshops

I have done shadow work

I have strong spiritual and/or religious beliefs

I have had experiences of connection to my soul

I have received guidance from something beyond my ego.

I am an athiest and do not believe that unconscious, transpersonal, divine, or spiritual exists

Abraham Maslow theorized that there is a hierarchy of basic needs that people experience in their lives. Please read the following text (from: http://honolulu.hawaii.edu/intranet/committees/FacDevCom/guidebk/teachtip/maslow.htm)
and think about where you feel you are on this hierarchy at this time in your life. Then follow the instructions at the end of the five-section passage.

Physiological Needs
These are biological needs. They consist of needs for oxygen, food, water, and a relatively constant body temperature. They are the strongest needs because if a person were deprived of all needs, the physiological ones would come first in the person's search for satisfaction.

Safety Needs
When all physiological needs are satisfied and are no longer controlling thoughts and behaviors, the needs for security can become active. Adults have little awareness of their security needs except in times of emergency or periods of disorganization in the social structure (such as widespread rioting). Children often display the signs of insecurity and the need to be safe.

Needs of Love, Affection and Belongingness
When the needs for safety and for physiological well-being are satisfied, the next class of needs for love, affection and belongingness can emerge. Maslow states that people seek to overcome feelings of loneliness and alienation. This involves both giving and receiving love, affection and the sense of belonging.

Needs for Esteem
When the first three classes of needs are satisfied, the needs for esteem can become dominant. These involve needs for both self-esteem and for the esteem a person gets from others. Humans have a need for a stable, firmly based, high level of self-respect, and respect from others. When these needs are satisfied, the person feels self-confident and valuable as a person in the world. When these needs are frustrated, the person feels inferior, weak, helpless and worthless.

Needs for Self-Actualization
When all of the foregoing needs are satisfied, then and only then are the needs for self-actualization activated. Maslow describes self-actualization as a person's need to be and do that which the person was "born to do." "A musician must make music, an artist must paint, and a poet must write." These needs make themselves felt in signs of restlessness. The person feels on edge, tense, lacking something, in short, restless. If a person is hungry, unsafe, not loved or accepted, or lacking self-esteem, it is very easy to know what the person is restless about. It is not always clear what a person wants when there is a need for self-actualization.

Indicate which level you believe you are on in the space provided below. You may see yourself as being in more than one level. If so, please indicate that as a comment in the 'other' comment box.